Our primary care psychology team contended with a number of accessibility and diversity challenges in the provision of telepsychology services to the marginalized communities with whom we work. We had difficulty reaching some patients, and many did not recognize the masked or “blocked” phone number calling them. Others did not have voicemail systems set up or had full voicemail boxes. Accessibility concerns, such as restricted data for video telepsychology calls and limited use left on prepaid phones also constrained patients' ability to engage in telepsychology. Furthermore, a subset of patients were undocumented immigrants or had undocumented family members, and we recognize that they may not have wanted to show on video their location during a telepsychology call. Similarly, patients and their families may not have wanted to show their homes on video either. By contrast, many patients were very open to telepsychology delivered via telephone if they had concerns about video.